SearchGeorgia1041C0700X

Ebone Coakley, LCSW

NPI 1992174817 · on the registry since 2015 · sole proprietor

Practice

Address
1840 Old Norcross Rd
Suite 200
Lawrenceville, GA 30044
Phone
(770) 355-6073
Fax
(770) 913-8027
Organisation at this address
Priorityhealthcarellc
Romana'S Care Services Llc
Illumination Counseling And Coaching, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia